Dat Duc Bui, M.D.
Individual provider Active NPI Internal Medicine Physician · Houston, TX
NPI 1932201415 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1932201415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- L3592 (TX)
- Practice address
- 11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830 - Phone
- (281) 464-6042
- Fax
- (281) 464-6706
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Shan Medical Association
Practice addresses (Care Compare)
11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830
Phone (281) 464-6042
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Park Manor of South Belt
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100610000140 | TX | Practitioner - Internal Medicine | 5597895011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73154 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shan Medical Association | Internal Medicine | Current |
Accepting new patients |
| Winnie-Stowell Hospital District | Past | Accepting new patients |
Locations
11717 Highland Meadow Dr
Ste 300
Houston, TX 77089
Phone (281) 464-6042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L3592 | TX | Yes |
| Internal Medicine Physician | 207R00000X | A73154 | CA |
Addresses
Primary practice location
11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830
Mailing address
11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830
Phone (281) 464-6042
NPI Registry JSON
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1932201415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11717 HIGHLAND MEADOW DR",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896830",
"telephone_number": "281-464-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11717 HIGHLAND MEADOW DR",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896830",
"telephone_number": "281-464-6042",
"fax_number": "281-464-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "DAT",
"middle_name": "DUC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L3592",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Christopher Van Bui
- Cindy-Thanhhoa Huynh Bui
- Dai Dinh Bui
- Dalton Cong Bui
- Dana Bui
- Diana Bui
- Diana Bui
- Dinh Xuan Bui
- Duc Thi Kim Bui
- Duy Bui
All providers in Houston, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.